Provider Demographics
NPI:1720149115
Name:HOUSE OF HOPE FOR RECOVERY
Entity Type:Organization
Organization Name:HOUSE OF HOPE FOR RECOVERY
Other - Org Name:HOUSE OF HOPE FOR ALCOHOLICS, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:IRELAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-291-4691
Mailing Address - Street 1:825 DENNISON AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-1315
Mailing Address - Country:US
Mailing Address - Phone:614-291-4691
Mailing Address - Fax:614-291-6323
Practice Address - Street 1:825 DENNISON AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-1315
Practice Address - Country:US
Practice Address - Phone:614-291-4691
Practice Address - Fax:614-291-6323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH01-8321OtherOHIO MENTAL HEALTH & ADDICTION SERVICES
OH2847227Medicaid
OH13910OtherOHIO MENTAL HEALTH & ADDICTION SERVICES